Adding New Hires (i.e., New Providers) to the Program
New hires to a practice currently in the Hartford HealthCare Independent Physician Program can complete the application below to be included in the Program. Please send completed applications and five year loss history to Sharon.L.Daust-DeLeeuw@marsh.com for review.
Independent Physician Application
Advanced Practicing Provider /
Physician Extender Application (PA's, APRN's, etc.)
Changes in Coverage Limits
Request for changes in coverage limits can only be completed at the time of renewal. Please indicate the desired limit amount in the renewal application at that time.
Changes in Employment Status
Please notify your practice group manager or Sharon.L.Daust-DeLeeuw@marsh.com of any changes in employment status (i.e. full time to part time, leave of absence, etc.).
Locum Tenens Coverage
Locum Tenens insurance coverage is provided free of charge by endorsement for a physician substituting for a current insured to cover professional services rendered on the insured’s behalf, for up to 90 days in a policy year. Please submit your request to Sharon Daust at Sharon.L.Daust-Deleeuw@marsh.com.
Increasing Cyber Insurance Coverage
Your policy automatically provides you with $50,000 in cyber coverage to each insured physician in the practice. To submit a question or application for higher limits (excess of the $50,000), please email: Hartfordsubmissions@tmhcc.com.
Application to Request Additional Cyber Coverage
Terminating Employees
Physicians or Advanced Practicing Professionals who are leaving a practice in the Independent Physician Program can send an email request for terminating coverage to the practice group manager or Sharon Daust at Sharon.L.Daust-Deleeuw@marsh.com.